功能性第一网络空间的定义和测量:范围审查
Kate Kyuri Kim1,2, Farah Bacchus-Misir3, Darcy Fehlings4,5
1Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, ON, Canada.
Hand therapy
|September 2, 2025
概括
了解第一个网络空间功能对于儿科手部护理至关重要. 这项审查发现测量方法不一致,阻碍了儿童手术和康复决策的明确功能定义.
科学领域:
- 儿童手术
- 康复医学
- 生物机械分析
背景情况:
- 手的第一个网络空间对于抓住和捏动作至关重要.
- 由于功能定义不清楚, 第一个网络空间的缺陷使手术和康复规划变得复杂.
研究的目的:
- 评估测量第一个网络空间的方法.
- 综合关于18岁以下儿童第一个网络空间的功能定义的证据.
主要方法:
- 使用阿克西和奥马利框架进行了范围审查,该框架由乔安娜·布里格斯研究所的方法运行.
- 在MEDLINE上进行了广泛的文献搜索,随后由两位独立审查员对标题/摘要和全文进行了选.
主要成果:
- 在162项查中,包括20项研究.
- 第一个网络空间是最常见的通过手掌绑架使用 carpometacarpal 角度测量,通常是放射性.
- 很少使用系统的方法来评估功能限制,缺乏标准的测量方法使得合成功能结果变得困难.
结论:
- 第一个网络空间函数的量化存在,但由于不一致的测量技术而不可靠.
- 对于评估儿童手术和治疗干预措施来说,标准化对第一次网络空间损伤的评估具有临床意义.
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